The main idea of the book: The current U.S. medical system has a variety of problems: patients do not have the right to know, the cost is too high, the cost is not transparent, medical malpractice, medical data security. Advances in technology and changes in society will gradually improve these drawbacks: a gradual increase in diagnostic and therapeutic means, the ability of smartphones and the Internet, and social networks to gradually play a role in the medical field, with patients increasingly empowered.
Here is a excerpt from some of the most important ideas and information in the book:
1: Surprisingly, until the 1957 revision, the American Medical Council first mentioned the right to informed consent. From the origins of Medicine to the 1957, it is hard to imagine the need to formalize informed consent and the rights of patients over such a long period of time. But anyway, it was finally realized. #584
2: This global impact process is known as the "Angelina effect". In my opinion, the real "effect" is not that the media spread the story about the star's genetic testing, but that it is a sensational, landmark decision-making story of independent health. #1068
3: Only with the enactment of the Affordable Care Act does the United States begin to impose policy restrictions nationwide to encourage patients to obtain their own medical records. #2128
4: No country has a health care market like the United States. In the United States, few patients will know what they have paid for their medical expenses, and what their employer or insurance company has paid for. #2341
5: Not only the cost of surgery may be wasted, there are many drugs also have a waste problem. The efficacy of drugs has been proven to be limited but is widely used, which may lead to greater harm. #2383
6: One consequence of the high cost of medical care in the United States is that patients begin to seek medical care outside the United States. #2450
7: Pittsburg University in the United States compared more than 8000 patients with online interrogation and offline diagnosis, it was also found to be cheaper to diagnose remotely. Through the evaluation of various key indicators such as misdiagnosis rate, there is no problem of the decline of the quality of telemedicine, and the online consultation is deeply loved by patients. #2742
8: Including organ biopsy, disc surgery, hernia repair, cholecystectomy and other a series of operations, once these patients need hospitalization, but today, in addition to the occurrence of unexpected complications, they are only a routine outpatient surgery. #3021
9: The future will have a new medical insurance system, from now "by the Code of Medical" reimbursement method gradually to "no effect on the bill" transformation. #3084
10: The result of this trend will be: the bedroom becomes the future ward. #3124
11: A frequently cited case of efficient collaboration between patient advocacy organizations and biotechnology is the example of the development of drug Kalydeco by Forte Pharma (Vertex Pharmaceuticals): The Cystic Fibrosis Foundation (cystic fibrosis Foundation) provides all patient information, and within 5 years Forte has developed a genome-based approach to treatment that takes about one-third of the time it takes to develop a normal new drug. #3316
12: It is too bad that a large number of medical centers in the United States, as well as most of the best hospitals with health information systems, have been exposed to electronic medical records. While part (14%) is due to hacking, more cases (more than 50%) are stolen from the doctor's laptop or USB stick. #3698
13: In fact, both the insulin pump and the defibrillator have been shown to be invasive, as it is possible to track and update the software by wirelessly connecting it. #3779
14: Denmark already has 15 years of medical data for its 6.2 million citizens. They use the data to draw a lot of disease-related curves, which they call "disease trails," and based on this information, it's easy to spot a seemingly unrelated relationship to another symptom. These are temporal associations that are not based on any of the established causal relationships. #4111
15: The University of Cambridge has developed a simpler way to detect tuberculosis, malaria and AIDS by using colorimetric assays that directly use test strips and smartphone cameras. #4322
16: Handheld high-resolution ultrasound imaging equipment has been proven to reduce perinatal mortality, which is a very impressive case. #4386
17: I think the answer is yes, the future patient will be more active. However, there is no doubt that the future of medical care is still inseparable from the doctor's diagnosis. #4520
Future medical: A vision of the future of medical technology and the business model of medicine: Diagnosis and treatment will be more convenient and patients will have more autonomy. Samsung recommendations